Endoscope Insertion Tube Stiffness Control for Curved Navigation
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Solution Overview
Problem
Existing endoscopes lack the ability to vary the stiffness of their insertion portions, leading to potential patient discomfort and increased examination time due to looping or difficulty in reaching certain body regions, and existing solutions do not provide complete mechanical control over flexibility.
Innovation Solution
The endoscope assembly incorporates elements such as screws, wires, springs, and actuators with superelastic materials like Nitinol to mechanically control the stiffness of the insertion portion, allowing for variation through mechanisms like rotation, activation, or fluid pressure control.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If the insertion portion is made stiffer, then looping is reduced and maneuverability is improved, but the ability to navigate curved paths and reach difficult areas is compromised
Solution Approach 1:
The endoscope employs a dynamic stiffness control mechanism where a motor-driven screw rotates to move a stopper along a wire, which in turn adjusts the stiffness of the insertion portion. This allows the stiffness to be dynamically changed from soft to stiff states, enabling the scope to adapt to different navigation requirements in real-time
Solution Approach 2:
The invention changes the physical parameter of stiffness by applying mechanical force through the screw-stopper-wire mechanism. By rotating the screw, the stopper moves to different positions on the wire, altering the tension and stiffness characteristics of the insertion portion to match different operational needs
2Adaptability or versatility
If the insertion portion is made softer, then it is easier to reach difficult areas like the cecum, but looping increases and patient discomfort may occur
Solution Approach 1:
The endoscope employs a dynamic stiffness control mechanism where a motor-driven screw rotates to move a stopper along a wire, which in turn adjusts the stiffness of the insertion portion. This allows the stiffness to be dynamically changed from soft to stiff states, enabling the scope to adapt to different navigation requirements in real-time
Solution Approach 2:
The invention changes the physical parameter of stiffness by applying mechanical force through the screw-stopper-wire mechanism. By rotating the screw, the stopper moves to different positions on the wire, altering the tension and stiffness characteristics of the insertion portion to match different operational needs
3Reliability
If repeated reprocessing and cleaning are performed, then hygiene is maintained, but the flexible characteristics of the insertion portion deteriorate and it becomes too flexible
Solution Approach 1:
The endoscope has a self-adjusting mechanism where the screw and stopper system automatically maintains optimal stiffness. The mechanical design allows the insertion portion to recover and maintain its structural integrity after cleaning cycles without requiring manual intervention or replacement of flexible components
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enables precise adjustment of stiffness to enhance maneuverability and reduce patient discomfort, improving the efficiency and effectiveness of endoscopic procedures.
Implementation Method 1
the wire stiffens the insertion portion upon rotation of the screw towards distal end of the insertion portion
Implementation Method 2
a spring, having a proximal end and a distal end, wherein the proximal end of the spring is connected to the actuator and wherein the actuator activates the spring
Implementation Method 3
actuators with superelastic materials like Nitinol to mechanically control the stiffness of the insertion portion
Data Source
AI summary
The specification describes a medical device comprising an insertion portion, a handle connected to a proximal end of the insertion portion. The handle comprises a wheel in an interior of the handle, the wheel having an asymmetric shape, a manually-operable lever connected to the wheel, and a wire having a proximal end in the handle and a distal end in the insertion portion, wherein rotation of the lever rotates the wheel to control a tension of the wire.


